YVETTE ANTOINETTE JACKSON LCSW
NPI 1720235476
Social Worker - Clinical in Culver City, CA

Active since August 25, 2008PECOS Enrolled
400 CORPORATE POINTE, SUITE 300, CULVER CITY, CA 90230(323) 298-0752(323) 298-5893 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yvette Antoinette Jackson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YVETTE ANTOINETTE JACKSON LCSW (NPI 1720235476) is an individual clinical provider in Culver City, California, licensed in California (65069) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720235476
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameYVETTE ANTOINETTE JACKSONCredential: LCSW
Location Address400 CORPORATE POINTE, SUITE 300Culver City, CA 90230-7620
Mailing Address400 Corporate Pointe, Suite 300Culver City, CA 90230-7620 · (323) 298-0752 · Fax (323) 298-5893
Fax(323) 298-5893
Sole ProprietorNo
Enumeration DateAugust 25, 2008
Last NPPES UpdateMay 4, 2015
NPI 1720235476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 65069
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
400 CORPORATE POINTE, Culver City, CA 90230

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Yvette Antoinette Jackson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
400 CORPORATE POINTE, 300
CULVER CITY, CA 90230
Dentist
400 CORPORATE POINTE, SUITE 300
CULVER CITY, CA 90230
Marriage & Family Therapist
400 CORPORATE POINTE, SUITE A4000
CULVER CITY, CA 90230
Community/Behavioral Health
400 CORPORATE POINTE, SUITE 300
CULVER CITY, CA 90230
Psychologist
400 CORPORATE POINTE, STE. 300
CULVER CITY, CA 90230
Marriage & Family Therapist
400 CORPORATE POINTE, AUCC
CULVER CITY, CA 90230
Counselor (Mental Health)
400 CORPORATE POINTE
CULVER CITY, CA 90230
Social Worker (Clinical)
400 CORPORATE POINTE
CULVER CITY, CA 90230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yvette Jackson's NPI number?

The NPI number for Yvette Jackson is 1720235476. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Yvette Jackson located?

Yvette Jackson practices at 400 Corporate Pointe Suite 300, Culver City, CA 90230. The listed phone number is (323) 298-0752.

What is Yvette Jackson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Yvette Jackson enrolled in Medicare?

Yes. Yvette Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yvette Jackson was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.